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Body contouring after radical weight loss PDF Print E-mail
Wednesday, 15 November 2006
The increasing popularity of surgery to address morbid obesity is being matched by a corresponding need for cosmetic surgery afterwards. The radical weight loss brought about by procedures such as bariatric surgery, or gastric bands, creates a need for the resulting excess skin to be removed for aesthetic purposes. However, the removal of this excess skin is not just an aesthetic issue, since the hanging skin is susceptible to infection and can be painful for the patient.
While a tummy tuck, or abdominoplasty, is sufficient for patients who have lost a moderate amount of weight, patients who have lost drastic amounts of weight require more aggressive body contouring after their weight loss surgery, most usually involving a belt lipectomy, whereby excess skin around the entire waist and hips is removed.

Since a lot of excess weight will be lost around the chest area, men usually require the surgical removal of the excess skin and underlying tissue that causes the man boobs effect, while many women opt for a breast lift with implants.

The procedure that is typically chosen by women only is the removal of "bat wings", the excess flaps of skin on the upper arms, as well as excess skin that can hang from the thighs.

"Massive post-surgical weight loss leaves most with unsightly excess folds of skin and fat, and in some ways the patient can actually look worse, not better," according to Dr. Jason A. Spector, the lead author of a review on the subject, and an assistant professor of surgery at Weill Cornell Medical College in New York City.

However, like the weight-loss procedures themselves, body contouring has associated risks, such as blood loss during surgery, blood clotting and post surgical wound infections, hernias and numbness of the treated area.

"As we perform more and more of these procedures -- some surgeons are now well into the hundreds of cases -- we're bound to get better at them, refining techniques and improving outcomes even more," he said.

Nearly 56,000 body contouring procedures were performed in the U.S. in 2004, according to the American Society of Plastic Surgery.


 
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